Assessment Data

(Include at least three-five subjective and/or objective pieces of data that lead to the nursing diagnosis)

Goals & Outcome

(Two statements are required for each nursing diagnosis. Must be Patient and/or family focused; measurable; time-specific; and reasonable.)

Nursing Interventions

(List at least three nursing or collaborative interventions with rationale for each goal & outcome.)

Rationale

(Provide reason why intervention is indicated/therapeutic; provide references.)

Outcome Evaluation & Replanning

(Was goal met? How would you revise the plan of care according to the patient’s response to current plan ?)

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3.

Statement #1

Statement #2

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3.

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2.

3.

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3.

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3.

Outcome #1

Outcome #2

Assessment Data

(Include at least three-five subjective and/or objective pieces of data that lead to the women in labor)

Goals & Outcome

(Two statements are required for each women in labor. Must be Patient and/or family focused; measurable; time-specific; and reasonable.)

Nursing Interventions

(List at least three nursing or collaborative interventions with rationale for each goal & outcome.)

Rationale

(Provide reason why intervention is indicated/therapeutic; provide references.)

Outcome Evaluation & Replanning

(Was goal met? How would you revise the plan of care according to the patient’s response to current plan ?)

1. Clients came with many questions which seems like they did not aware about carrying techniques during labor period. Also, some client has wrong information about labor carrying process and inaccurate information.

2. Client was unaware about some precautions which can take to maintain intake and output during labor time.

3. Client felt exhausted in prior labor even they worried that she could push the baby out due to lack of information.

Statement #1

The goal is to provide proper information and knowledge about specific topic due to lack of knowledge and misunderstanding and result of that women would capable to understand changes in the body so, they would follow particular techniques to deal with the situation.

Statement #2

The goal is to increase intake and prevent losses such as vomiting, blood loss and changes in hormones.

Statement #3

The goal is to reduce risk of inappropriate coping which could leads to situational dilemma.

1. Give knowledge about methods such as normal progression of labor.

2. Keep eyes on client’s activity and guide them about procedure so they can take care themselves even when they are at home.

3. Keep informs the client about procedure and related risk associated with labor process.

4. To aware client about relaxation and breathing are very crucial. Also, give knowledge about pushing position to client helps them while labor process.

1. Control some effects such as tearing, skin swelling and other reaction within body.

2. Supervising vital sign.

3. To aware and provide methods client about carrying mouth during labor time is very crucial.

4. Knowledge about appropriate food intake make certain effect on baby while labor time.

1. It is very crucial for staff to note age of client and related person who can help client while labor period.

2. It is very vital to determine coping capability of client, even response of client to certain pain during labor period is important. In certain cases information about client background is equally important.

3. To provide helping woman to client who can help her as companion.

4. Familiar environment and staff support. Also, provide information to client about physiological and psychological changes during labor time is crucial.

5. Prepare client to care at home also by discharging them form hospital environment.

1. Proper knowledge makes the process easy as the client has information about control during labor process and it would decrease the dependency on unnecessary medicines.

2. Keep client active by tell them to do some activities which can help them to refocus.

3. Client can make easy choice and appropriate informed method of labor process.

4. Educate client would have knowledge of process which helps them to reduce stress and anxiety while labor period.

1. To aware those about hydration and providing appropriate knowledge about changes in body during labor time.

2. Hike temperature, fluctuate blood pressure, pulse which mark effect of hydration.

3. By providing information about mouth care, it helps client to keep their mouth dry and feel comfortable.

4. Appropriate food intake affect baby such as milk makes baby larger and chamomile tea helps to fertile baby and make it healthier.

1. There are some undesired effects such as anger, anxiety due to negative coping. Also, without proper staff and indication, it would cause stress and discomfort while labor process.

2. There are different responses of client while pain. It could be verbal and non-verbal response.

Different client act differently while stress and anxiety. This is help to determine coping ability of client. For example, some women may feel shame to express their pain verbally in front of their family and other people. Whereas women encourage to express their pain verbally in middle eastern culture.

3. Women are more dependent During labor periods. So, unmet client may feel exhausted and suffer from anxiety which could lead to several dilemmas. By providing helping woman who help client to control their stress and inappropriate feelings by providing informational help. This companion should pay for that work. According to experts helping woman is very crucial for better infant outcome and plummet physical and emotional problems.

4. Stress, anxiety, and emotional problems may affects baby while labor period. There are some negative reaction in body occur due to utilized glucose intake, excess epinephrine release which can create dysfunctional labor pattern.

5. Home environment can release the stress and anxiety at certain level which helps woman to stay healthier by physically and emotionally. But before release client from hospital, It is vital to train her as she would able to take care of herself at home too by practicing some activities such as meditation and by some restrictions which can help client to be stable with labor pain.

Outcome #1

Result of that woman would capable to understand changes in the body so; they would follow particular techniques to deal with the situation and related procedure.

Outcome #2

It would come out with good outcome as client has information and knowledge about fluid intake and output during labor time. In addition, they would able to maintain their self as they have information about hydration during labor time.

Outcome #3

At the result of Client would able to build verbal awareness which would help to improve coping ability while labor process. Medication helps client to stay focused and get rid of the physical and emotional changes during labor.

Assessment Data

(Include at least three-five subjective and/or objective pieces of data that lead to the pregnant women with placenta previa)

Goals & Outcome

(Two statements are required for each women in labor. Must be Patient and/or family focused; measurable; time-specific; and reasonable.)

Nursing Interventions

(List at least three nursing or collaborative interventions with rationale for each goal & outcome.)

Rationale

(Provide reason why intervention is indicated/therapeutic; provide references.)

Outcome Evaluation & Replanning

(Was goal met? How would you revise the plan of care according to the patient’s response to current plan ?)

1. A pregnant woman with placenta previa feels certain effects related to body such as dry mouth, insomnia, restlessness, frequent urination, etc. Sometime patient complain about stress, nervousness, excess amount of tension, unable to concentrate and shaking.

2. There are some situations when patient feels uneven or fluctuated heart rate and blood pressure while doing some activities. Also, cardiographic changes which indicate effect of ischemia. Moreover, patient felt weakness and external discomfort while pregnancy with placenta previa.

3. Patient came with dilemma such as Increased alertness and pulse, also constant vomiting and diarrhea which make her even more seeks during pregnancy. Moreover, increased blood pressure and perspiration.

Statement #1

The goal is to give proper treatment and intervention by nursing staff to decrease in anxiety, physical and emotional dilemma, also verbalization of release of anxiety.

Statement #2

The goal is to decrease patient’s normal intolerance vital and physiological sign by hours of nursing intervention. Also intolerance bed rest during pregnancy.

Statement #3

The goal is to build good relation to patient so, patient will show appropriate range of feelings and lessened fear.

1. The relationship between client and staff is very vital to reduce certain dilemma. Also, providing them reassurance and comfort.

2. To determine vital sign of client is very crucial steps for staff.

3. To determine the behavior of pregnant women with placenta previa. Moreover, note inappropriate activity. Also, work on diagnostic test and result.

4. Give practical and theoritical information about placenta previa to patient. Also give them knowledge about available resources and role of crisis manager.

5. To determine proper medication for pregnant woman with placenta previa by chemist, also discussing drug substituent is equally important.

6. to carrying pregnant women with placenta previa staff should have strategies such as role play. Also organizing events to aware people about placenta previa is also good step.

1. It is very important to operating cognitive signs of petient; also analyze fluctuation of blood pressure, heart rate. Moreover, it is crucial activity to record skin cyanosis and the presence of confusion.

2. To maintain undesired physiological changes are occurred by plummet intensity level of activity, also inconstant activities of pregnant women with placenta previa.

3. To introduce patient to possible injuries while pregnancy and provide her positive atmosphere. Also, Increase exercise levels gradually, for example restricting to rest for 3 minutes. During a 10- minute walk and sitting down to brush hair instead of standing.

1. It is very important to identify sensory deficits that may be present, such as vision/hearing impairment.

2. Stay with the client or make arrangements to have someone else be there.

3. Promote client control, where possible, and help client identify and accept those things over which control is not possible.

4. It is better way to work by Explaining procedures to the patient within the level of her understanding and handle.

1. To maintain good Relationship with client help to get cooperation and trust of client which can lead to good results while pregnancy.

2. This is a better way to identify Emotional and medical situation of client. Also, vital sign is more important to determine physical responses of client which could reduce risk during pregnancy.

3. By this activity one can identify the patient’s level of anxiety and treat according to that. And diagnostic results give physiological source of anxiety.

4. Thia is the way to aware clients by providing them Proper information about placenta previa so they can able to understand the process and cooperate accordingly. Moreover, knowledge of resources gives client ideas about utilization of available services and contact related person according to their role.

5. knowledge of proper medication help to reduce side effects of medicine and change in doses according to time periods can help to improve client’s heath.

6. This activities of staff would help them in some situation such as tackling the situation of patient’s uncontrolled anxiety and provoking behavior.

1. Such activities used to determine data and changes in behavior because of intolerance.

2. This regulation of physiological changes help patient to conserve the energy which can help her at a time of pain and exhausted feelings.

3. Acknowledge patient about injuries protect her in certain situation while pregnancy with placenta previa. Moreover, exercise and medication help to reduce frustration and conserve energy in body which makes pregnant women feels fresh instead of having placenta previa .

1. By Identifying affects sensory reception and interpretation of the environment one could create good relationship with patient, so patient would follow certain instructions.

2. Providing client with desired support persons can remove feelings of fear and patient would not feel alone which can make their health even better unknowingly.

3. Strengthens internal locus of control.

4. Prevents confusion or overload of information. It would also help pregnant as she already knows procedure and upcoming treatments.

Outcome #1

The nursing intervention and proper treatment helps to plummet client’s anxiety level during pregnancy with placenta previa and improve patient’s verbalize response.

Outcome #2

The patient’s vital signs have returned to normal range and reduced physiological signs of activity intolerance after hours of nursing intervention.

Outcome # 3

A good relationship between patient and staff is result in good manner. It could be a reason that patient would follow all given instruction which help her to improve her heath during pregnancy.